Graduated: 1977
Also: GENERAL PRACTICE
NPI: 1851373534
Practice Locations (2)
SHASTA REGIONAL MEDICAL GROUP INC
2830 E ST
ANDERSON, CA 960073408
5303652545
SHASTA REGIONAL MEDICAL GROUP INC
1355 E ST, SUITE 200
REDDING, CA 960010801
5306054260
Source: CMS National Downloadable File, September 2026.